EBCOG Part 1 – 2 Months Subfertility – Day 2 EMQ

a. Abdominal exam        
b. Abdominal ultrasound        
c. Barium enema     
d. Colocoscopy  
e. CT of pelvis
f. Diagnostic laparoscopy
g. Diagnostic laproscopy & peritoneal biopsy
h. Endoanal ultrasound.
i. Endometrial biopsy
j. Endometrial cytokine levels
k. MRI pelvis
l. Rectal exam
m. se CA-125
n. transperineal ultrasound
o. transvaginal ultrasound
p. vaginal exam

1.Woman with pelvic endometriosis presents to clinic with cyclical rectal bleeding. Vaginal & rectal exam are inconclusive. What is the most appropriate initial test to identify or exclude rectal endometriosis?

2. 35 year old woman presents to clinic with dysmenorrhea & pelvic pain. A pelvic exam demonstrates tenderness & fullness in the right iliac fossa. Which test will diagnose or exclude an ovarian endometrioma?

3. 24 year old woman, presents to the gynaecology clinic with abdominal & pelvic pain, dysmenorrhea & dyschezia. She is not sexually active as yet. What is the most appropriate initial assessment for the diagnosis of endometriosis?